The food and drug administration fda issues class drug recall
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
1. Nine rights of medication administration………………..select all that apply…………Pg. 5-9
Use generic names to compare orders to medication pulled.
During the implementation phase of the nursing process, which action will the nurse perform when administering medications?
"Can you tell me your name?"
"Do you have any drug-related allergies?"
"Do you have any other medical illnesses?"2. Right dose…………………………………………………………………………………………………………Pg. 7
Which nursing action is appropriate once a medication error has occurred?
Document the facts associated with the medication error.
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
4. Allergic reaction…………………………………………………………………………………………………Pg. 29
Which term describes the ratio between a drug’s therapeutic effects and toxic effects?
Therapeutic index
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Which type of fetal effect might result from administering antibiotic medication to women who are pregnant?
Teratogenic
Which adverse effect might the patient develop if treated with primaquine?Determine the usual dosage per 24 hours.
Determine the amount of drug to administer per dose and per day.
Decreased gastric pH
Delayed gastric emptying
Faster intramuscular absorption
What will a nurse need to know about differences in drug distribution in neonates compared with drug distribution in adults? Select all that apply.
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Contact the primary health care provider.
11. Considerations for older adult patient………………………………………………………………….Pg. 37
Which legislation, passed in 1996, ensures that the privacy of patient information is protected?
Health Insurance Portability and Accountability Act
During a case presentation, the nurse mistakenly mentions the name, age, and diagnosis of a patient. Which specific law has the nurse violated?A clinical research team is performing a drug trial to find the therapeutic and adverse effects of a new drug formulation. The team finds that some subjects seem to show a greater therapeutic effect compared with others. The researchers feel that there is a subject bias. Which modification should be made to the research to get a clear idea of the efficacy of the drug?
Form a control group that is given a placebo drug
The nurse is responsible for recruiting subjects for a clinical trial. The nurse obtains informed consent after explaining the trial in detail. In which condition is the informed consent valid? Select all that apply.African-Americans should be given a lower than usual dose of drugs.
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Ask about the type of "spiritual healing" the patient is referring to
The nurse is studying the medical reports of a Japanese patient with a history of tuberculosis. The nurse finds that the dosage of isoniazid is higher than the usual dose prescribed in the United States. Which is the probable reason for this finding?Japanese patients are known to be rapid acetylators.
The nurse is assessing an Asian patient who has back pain. Which questions will the nurse ask while performing the cultural assessment? Select all that apply.
"Can you tell me about your usual diet?"
"What measures do you usually take to control pain?"
"How frequently do you use over-the-counter drugs?"
The nurse is assessing a patient’s culture and race on admission to the hospital. Which concept is important for the nurse to understand regarding drug therapy as it relates to different races of individuals?Hispanic
15. Teamwork and collaboration………………………………………………………………………………..Pg. 56
Which is an "orphan drug?"
A drug that is used to treat rare illnesses17. Chapter 5 Medication errors……………………………………………………………Pg. 61-70 (10 questions)
Which statement about planning interventions aimed at reducing medication errors is accurate?
The majority of medication errors result from weaknesses within the system rather than from individual shortcomings.
Notify the provider and discuss a written order for two 120-mg capsules of diltiazem hydrochloride every day.
Which response by a nurse indicates effective learning about medication error reporting? "All hospital pharmacies must have an adverse drug event monitoring program." Which statement is appropriate regarding medical errors?
When preparing to administer scheduled 0900 medications, a patient states, "I already took my blood pressure medicine this morning." Which is the priority action by the nurse?
Do not administer the medication.
Health literacy
The nurse explains the use of the electrocardiogram (ECG) for the detection of cardiac abnormality. Which question by the patient leads to an effective teaching-learning interaction in the psychomotor domain?"How is an ECG performed?"
Which domain will teaching address when discussing brushing teeth as part of a healthy lifestyle with a group of preschool-aged children?Assessment
21. Pt education……………………………………………………………………………………………………………Pg. 80
Upon the patient’s admission to the health care setting
22. Table 7.3………………………………………………………………………………………………………………….Pg. 89
Sugar substitute on grapefruit
Which herb or dietary supplement would the nurse teach a patient who had a lung transplant to avoid?Echinacea
Which dietary supplements increase the risk of bleeding due to the interaction with anticoagulants? Select all that apply.Restrict the intake of grapefruit.
A patient admitted with cardiac problems states an intention to lose weight quickly by following the grapefruit diet. Which point would the nurse teach the patient in relation to this dietary intervention?
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Which term is used to describe when a patient abuses cough syrup containing dextromethorphan?
Liver enzymes
Which complication needs to be assessed for immediately in a patient who self-administered over 5 grams per day of acetaminophen for the past week?Liver toxicity
Morphine
Which phrase describes the primary indication for the administration of morphine?To relieve acute and chronic pain
Which finding alerts the nurse to the possibility that the patient is experiencing adverse effects of morphine sulfate?
Drowsiness
Which assessment findings does the nurse determine are possible adverse effects associated with morphine sulfate administration? Select all that apply.
After the placement of a new transdermal opioid patch, the patient complains of an increase in level of pain. Which error in placement of the new patch is the reason?
Placed on a hairy area
After administration of propofol, the patient’s body temperature, breathing rate, and heart rate suddenly increase and the patient also develops muscle rigidity. Which medication would be administered for management of the patient’s condition?
Dantrolene
Vecuronium
A patient who was given succinylcholine for intubation during surgery complains of muscle pain 2 days later. The patient may have which condition?Hyperkalemia
Which description explains why pancuronium is administered for an abdominal laparotomy procedure?Acetylcholine
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Decreased potassium
A mechanically ventilated patient receiving a neuromuscular blocking drug has tearing in the eyes and increased heart rate and blood pressure. Which conclusion does the nurse make?The level of sedation is inadequate.
Nitrous oxide
Which effects are exerted by the antihistamine promethazine when it is administered as an adjunct simultaneously with propofol? Select all that apply.Sedation
Anxiety reduction
Prevention of nausea and vomiting
Which type of anesthetic agent is administered into the subarachnoid space?35. Contraindications………………………………………………………………………………………………………Pg. 185
Which medication is contraindicated for a patient with narrow-angle glaucoma who is having difficulty sleeping?
Deep sleep
Which is the characteristic feature of rapid eye movement (REM) rebound sleep?Vivid dreams
Flumazenil at a maximum dose of 3 mg
Which dose of flumazenil does the nurse expect to be given for an overdose of midazolam?0.2 mg/2 mL IV over 30 seconds
How is flumazenil administered when treating a diazepam overdose?
Which finding in a patient’s medical history record would lead a nurse to conclude that a patient should not take temazepam?
Narrow-angle glaucoma
Which characteristics must be identified in the child’s behavior before central nervous system stimulants are indicated? Select all that apply.
Lack of ability to control impulses
Symptoms lasting at least 6 months
Short attention span for the child’s age
?? Which information will a nurse give to the parents of a child with attention-
deficit/hyperactivity disorder (ADHD) has been prescribed dexmethylphenidate? Select all that apply.
Which treatment strategy will the nurse expect from the health care provider for a child on methylphenidate for attention-deficit/hyperactivity disorder (ADHD), who now reports they have had an improvement in school but cannot sleep at night?
Prescribe atomoxetine to the patient.
Blocks the action of cerebral adenosine
Which medication may be prescribed to minimize breathing difficulty an infant with dyspnea who is treated with high-pressure mechanical ventilation and who develops bronchopulmonary dysplasia?Caffeine
Which reason would the health care provider discontinue phentermine for 2 weeks after reviewing a patient’s medical history? The patient is taking monoamine oxidase inhibitors (MAOIs).
Which drug would the nurse expect to be prescribed for a patient who is obese, frequently hungry, and eats to satisfy hunger? Phentermine
Skeletal muscle weakness
Which condition has the symptom of dysfunctional rapid eye movement (REM)?Narcolepsy
Administer the medication through a 20-gauge or larger catheter.
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Status Epilepticus……………………………………………………………………………………………….Pg. 217
Which medication would the nurse anticipate the health care provider to prescribe for a patient
Which information would the nurse provide to increase safety for a patient with a new diagnosis
of epilepsy who is being discharged on antiepileptic drugs (AEDs)? "Wear a medical alert bracelet."
When administering phenytoin via intravenous (IV) push, which action will the nurse perform? Flush the line with normal saline before and after administration.
Which intervention is appropriate to include in discharge teaching for a patient prescribed phenytoin therapy? Perform good oral hygiene.
Barbidopa-levodopa…………………………………………………………………………………………….Pg. 233 Which description of carbidopa-levodopa explains why it is the drug of choice for the treatment of Parkinson’s disease in older adult patients?
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
Amantadine
Which antiparkinson medication is also an antiviral drug used to treat the influenza virus? Amantadine
Which substance, if out of balance with acetylcholine, leads to Parkinson’s disease? Dopamine
Parkinson’s disease………………………………………………………………………………………………..Pg. 231
Weakness
Muscle rigidity
Resting tremorCarbidopa-levodopa……………………………………………………………………………………………….Pg. 237-238
SHERPATH PHARMACOLOGY FINAL EXAM BLUEPRINT
A patient is receiving benztropine. Which is an essential point for the nurse to teach the patient about therapy? "Avoid exercise during hot weather."
Report any back pain or jaundice because this may indicate liver dysfunction.
This medication should be taken with meals to decrease gastrointestinal (GI) upset. The nurse is caring for a patient who has been prescribed entacapone to reduce the on-off effects of carbidopa-levodopa. Which action will the nurse take to assess for any adverse effects in the patient? Select all that apply.
Check the patient’s urine reports.
Record the patient’s blood pressure.
"Do not be concerned if you see the matrix of the capsule in your stool."
"Be especially careful when changing position after your first dose of the medication."47. Atenolol…………………………………………………………………………………………………………………..Pg. 347
A dry, hacking cough
Which comment by the patient indicates understanding about the side effects of enalapril?"If I develop a chronic cough, I should notify my health care provider."
The nurse is instructing a patient about potential adverse effects of a prescribed angiotensin converting enzyme (ACE) inhibitor. The nurse would instruct the patient to immediately seek medical attention if which adverse effect occurs?
Angioedema
The nursing instructor determines that the student nurse understands the rationale for administration of an angiotensin converting enzyme (ACE) inhibitor for treatment of hypertension when the student makes which statement(s)? Select all that apply.
THERE ARE 80 QUESTIONS ON THIS EXAM.
